AGNES M TOM Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002874

License Status

NOT RENEWED

Business

First Name

AGNES M

Last Name

TOM

Business Name

AGNES M TOM

Original Issue Date

11/24/1981

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005